Forms, Permit & Application Tracking

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Applications & Reporting Forms

Well Construction Permitting

Online Well Construction Record (GW-1) submission (preferred method)

• Well Construction Record (GW-1, downloadable form)
• Well Construction Variance Request 2C .0100 and 2C .0300 Water Wells
• Well Construction Variance Request 2C .0200 Injection Wells
• Injection Well Status and Permit Rescission Request Form
• Monitoring or Recovery Well APPLICATION
• Aquifer Storage and Recovery Well Permit APPLICATION
• Large Capacity Water Supply Wells APPLICATION

CCPCUA

• CCPCUA Water Use Reporting Online
• Permit Application, Registration and Compliance Forms

UIC

• Geothermal Water Return Well Permit APPLICATION (see application types below)
• APPLICATION for Permit to Construct and/or Use A Well(s) For Injection (see application types below)
• Stormwater UIC Notification Form
• Well Construction Variance Request 2C .0100 and 2C .0300 Water Wells
• Well Construction Variance Request 2C .0200 Injection Wells
• Injection Well Status and Permit Rescission Request Form
• Aquifer Storage and Recovery Well Permit APPLICATION

• Geothermal Heating & Cooling Injection Wells

  ** NOTE:  Effective May 1, 2012, all closed-loop geothermal injection wells are permitted by rule pursuant to 15A NCAC 02C .0217.  All well construction notifications shall be processed via the DWR Regional Offices and on the new form; all old forms are no longer valid.

  • Open Loop Geothermal Permit Application
  • Closed Loop Geothermal Notification Form
  • Closed Loop Geothermal Variance Application Form
  • Thermal Conductivity Test Well Notification Form
  • Injection Well Status and Permit Rescission Request Form

  In Situ Remediation Injection Wells

  • Deemed Permitted In-Situ Groundwater Remediation Notification (NOI)
  • Permit Application for Injection of Remediation Additives and Tracers
  • Enhanced Electrical Resistance Heating Notification
  • Microbial Risk Assessment Evaluation Form
  • Non-Microbial Risk Assessment Evaluation Form
  • Enhanced Resistance Heating Notification Form

Application & Permit Tracking

DEQ has implemented a permit application tracking system via an interactive map, which can be searched using the applicant, county, facility, permit type, or other criteria.  Likewise, DWR permitting programs have developed a similar means of finding information about permits that have been issued.

• Permit Application Tracking System - Use this interactive map to find information about well permit applications and how to contact the application reviewer.  As  permits are issued and permit-by-rule notifications are processed they will eventually be removed from this data set and appear on one of the maps below.
• Permitted Facilities:  Injection Wells -  Use this interactive map to find permit numbers and other information about injection wells permitted for geothermal heating/cooling,  in situ soil/groundwater remediation, or aquifer storage and recovery facilities.  This includes facilities permitted by rule and those issued an individual permit.
• Permitted Facilities:  Other Wells - Use this interactive map to find information about facilities permitted for monitoring, recovery, and large capacity water supply wells (a well or well system designed to produce 100,000 gallons per day or greater).

Interactive Data

Reporting Forms

Injection Wells

• Injection Well Status and Permit Rescission Request Form
• Injection Event Record (IER)
• Mechanical Integrity Testing - Geothermal Closed-Loop Systems

Groundwater Quality

• Groundwater Quality Monitoring Form GW-59
• Compliance Report Form GW-59A
• Coal Ash Facility Compliance Report Form GW-59CCR

Other Reporting Forms

• Well Abandonment Record Form GW-30
• Permit Owner / Name Change Form